SHAWN JOHNSON (DO) – Emergency Medicine Physician, NPI 1881689636

SHAWN JOHNSON (DO) is a healthcare provider. based in Des moines, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 03354 (IA). The NPI Number for SHAWN JOHNSON (DO) is 1881689636

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN JOHNSON (DO)
NPI
1881689636
Phone
(515) 282-2319
Address
1801 HICKMAN RD
Enumeration Date
19 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
5799742714
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20041210000978
Address ID
IA503141597DE1801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

486 EMERGENCY MEDICINE in IA

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Provider Addresses for SHAWN JOHNSON (DO)

  • Broadlawns Medical Center, 1801, Hickman Road, Mondamin Presidential, Des Moines, Polk County, Iowa, 50314, United States

    BROADLAWNS MEDICAL CENTER

    DES MOINES, IA 503141505

    Phone: (515) 282-2319

    Fax: (515) 282-3234

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041210000978IEmergency MedicineIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2725$0
99284Emergency department visit with moderate level of medical decision making1717$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 50314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678466166View full group profile
NameSpecialtyState
Family PracticeIA
-IA
Physician AssistantIA
-IA
O P T O M E T R YIA
-IA
Clinical Social WorkerIA
Nurse PractitionerIA
O P T O M E T R YIA
H E M A T O L O G Y/ O N C O L O G YIA

Reviews

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Frequently asked questions

What is SHAWN JOHNSON (DO)'s NPI number?
SHAWN JOHNSON (DO)'s NPI is 1881689636 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SHAWN JOHNSON (DO)?
For scheduling context, SHAWN JOHNSON (DO) is shown as active in the registry.
What clinical focus is listed for SHAWN JOHNSON (DO)?
At a glance, SHAWN JOHNSON (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHAWN JOHNSON (DO)?
Travel planning: use Des Moines, Iowa as the reference point for SHAWN JOHNSON (DO), then confirm.
Can I trust this NPI listing for SHAWN JOHNSON (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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